The first occurred when the ethics committee gathered to discuss one of the residents on the nursing wing. She was in the late stages of dementia and unable to speak. She had developed an ulcer on her foot, and the doctor recommended antibiotics and whirlpool treatments. These might prevent having her foot amputated.
Her health care agent with medical power of attorney was her daughter. She said that her mother had …
It’s 4 a.m. when a 17-year-old awakens at home with severe left shoulder pain that his worried parents call 911. By the time he reaches the emergency room (ER), he has pain all the way to his wrist.
“Any recent injuries?” asks the doctor.
“Yeah, about three days ago, I was lifting about 200 pounds at the gym and noticed that my shoulder was really sore.”
When questioned further, he admits that he’d …
Teen dies when blood culture protocol botched: What can we learn from this tragedy?
The headache wasn’t that bad. The fatigue was worse. I had slept about six hours total in the past three days. I was fortunate to have dutiful help from my husband and both grandmas, but I was still exhausted. Between breastfeeding, diaper changes, snuggling, trying to eat and maybe shower, adjusting to being thrust into the most important role in my life, feeling the joy and anxiety as only someone …
My blood pressure spike on postpartum day 3
In an exciting recent study, researchers found that for adults with obesity, weight loss through bariatric surgery lowered their risk of cancer by 35% and reduced their risk of cancer-related death by 43%. This was true of both gastric bypass and gastric sleeve surgeries, and the results were observed ten years after patients’ procedures.
This is great news for people who have seen weight-loss success through bariatric surgery. The study …
A gastric bypass might help some people bypass cancer
It always makes my heart sink when the CPR guidelines change.
In 1980 I became a provider of advanced cardiovascular life support (ACLS) as certified by the American Heart Association. This was a great move. Through my internship and the many years that followed, it proved comforting to know that I would act decisively and with confidence in the setting of a cardiorespiratory arrest. The ACLS course dictated dogmatic protocols – …
Nothing is sacred: Changing CPR algorithms can be a rude awakening
When I was eight years old, I was a star soccer player on a state championship team. During shirts-off practice and while down at the local pool, I noticed how different my body was compared to my peers. After I referenced my scientifically approved human body anatomy book, most of my peers’ bodies looked just like the standard human body image in the book, with all the muscles developed …
My journey being gaslighted about obesity, skinny fat, and body type
Over 30 years ago, this man began working for our hospital system.
He was assigned to our ICU/CVICU units. Though some health care employees hadn’t even been born yet, Charles was a tried and true “lifer.”
He was our housekeeper. And he was our friend — our family.
He was a man with energy and stamina. He was a hard worker. Relentless. He could spin circles around a pack of 20-year-olds put together.
His …
He was more than a housekeeper
The recent article by Danielle Crittenden, “The Danger of Fat Acceptance: The Average American Woman Is Now a Size 18” is more of the same perpetuation of our society’s deeply internalized diet culture, weight blaming, and shaming of the individual and collective pursuit of thin privilege.
The article was sent to me by a friend, but I didn’t need to read it because I’m so familiar with the …
Fat acceptance is a human acceptance movement
According to data gathered by the American Cancer Society (ACS), more than 1.9 million new cancers are projected to be diagnosed in 2022. In addition, missed cancer screenings due to the pandemic are expected to potentially increase the number of cancers that are diagnosed at a more advanced stage. But the ACS data also highlight an important fact—approximately 42% of the new cancers projected to be diagnosed …
The building blocks of a cancer risk management strategy
The federal 988 hotline represents a promising new approach to alleviating the nation’s growing mental health crisis, but several key challenges loom that could derail this well-intentioned initiative.
One significant information technology challenge the hotline will face involves how to uniformly store and interpret mental health data (more on that later) but the most immediate roadblock is a lack of awareness.
Though the hotline is scheduled to debut in July, the program, …
The new 988 hotline has the potential to transform mental health care, but challenges loom
If mommy dearest only knew.
There I was, sitting in the banquet room — a room full of retired nurses celebrating with upper management. They were praising us for our retirement and praising us for our blood, sweat and tears and massive overtime hours with little to no potty breaks. They were praising us for our missed time with our families, like Christmas, Easter and Thanksgiving.
It was nice.
With their white gloves, …
I have survived every tragedy that comes with nursing
Perhaps I am being pessimistic, with a “glass half full attitude,” but please hear me out. I am optimistic, but I am also realistic, and I pay attention to trends and behaviors in people. When monkeypox was first mentioned in the Canadian media, it was seen as low risk for spread. I laughed and groaned simultaneously. I remember those exact words when public health officials first acknowledged COVID. The concerns …
Monkeypox: Have we learned anything?
I recently had a prophylactic bilateral mastectomy with an esthetic flat closure (no reconstruction). My decision took months of questions, discussion and reflection. My journey began during the final four weeks of 2021.
It included: four mammograms, four ultrasounds, three MRIs, two needle biopsies, two radioactive seed placements, two excisional biopsies (aka lumpectomies), two surgeon visits, and scheduling a prophylactic mastectomy.
Thankfully, I am currently cancer-free and have a greatly reduced risk …
Not a cancer survivor, not a cancer previvor: Am I a cancer preventer?
After skin cancer, prostate cancer is the most common type of cancer diagnosed in people with a prostate. Some risk factors associated with prostate cancer can’t be mitigated. Those factors include older age, a family history of prostate cancer, and race (Black men have double the risk of developing prostate cancer compared to white men).
There are, however, lifestyle changes that men can make that may reduce prostate cancer risk. Diet …
6 changes that could lower the risk of developing prostate cancer
It might seem odd to write about what high-weight patients would like when they meet with their doctors. Don’t they want what every patient wants? The answer is yes, but the fact is, they often don’t get it due to implicit anti-fat bias among health professionals.
In my 30-plus years of practice as an eating disorders therapist, I’ve heard the same laments from high-weight clients: Doctors only want to talk about …
5 tips for treating high-weight patients
A patient, let’s call him Jay, came to me refusing a leg amputation. He had open sores that were necrotic, foul-smelling as if he had been neglected for a long time. At his consultation, he fought with every cell of his being, refusing to lose his leg as his uncle did. He wanted a second opinion on whether or not his foot could be saved.
Traditional insurance-based medicine has …
Direct care with a podiatry twist
“If your shoulder were really injured, that maneuver would make you scream in pain,” he told me confidently.
My husband and I recently established care with a new family doctor. I was frightened and scarred from a long history of medical gaslighting that still tightens my throat whenever I meet a new physician.
Will this doctor believe me? Will he understand?
Years of dismissal made me wary of a new start, but we …
What a lifetime of gaslighting by other doctors feels like
Five days before this story begins, where everything is upside down, and the end is the beginning.
Me, standing in my PICU, slowly approaching that cradle, then removing the medication, one by one, turning off the syringe pumps. Saying out loud the number of milliliters passed, where that line is trapped, that little division between the professional and me, the person.
Where I stopped being a doctor and became a woman holding …
There are many topics on which I cannot claim to be an expert. I cannot solve the issue of gun violence, I don’t know what will “fix” the current societal crises, and I have no idea what will happen in the future regarding climate change.
There is one topic that seems to be coming up with more frequency and regularity, and I am qualified to speak on that. The shortage of …
Why is there a shortage of mental health professionals?
He was a tall, healthy psychiatric technician, experienced in his line of work. He was a CNA but wanted more. He wanted to help heal the troubled, forgotten, and neglected — behavioral health was his niche.
He would lead the way with therapy sessions in this group every day. This was Intensive management: the intermittent home for the paranoid schizophrenics, bipolar, and MDD.
They came in all shapes and sizes — wealthy, …
Game over for behavioral health
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